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Louisiana rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $208.93 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $112.20 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $100.00